Fluid in the Lungs – Causes and Treatment

Fluid in the lungs is a broad term to describe two possible states that can give characteristic symptoms, such as a bubbling noise in the lungs (rattling) when breathing. Fluid accumulation may be in the lungs (pulmonary edema) or outside the lungs (pleural effusion), in the space between the lungs and the chest wall. The term fluid in the lungs is also used in the lungs to refer to mucus. Mucus or phlegm is really a thick, sticky secretion even though lung water is a thin fluid. Other fluid accumulation can be the result of blood or pus.

The lungs enter the thorax (chest) and lie on either side of the heart. Air travels through the air passages that surround the nose, throat (neck), trachea (trachea) and bronchi. The lung tissue is made up of small air sacs, known as alveoli, which is thin and surrounded by blood capillaries. The structure of the respiratory system allows an exchange of gases, so that essential oxygen is taken into the body and waste products, along with gases, are excreted by the exhaled air. The lung is enclosed in an airtight pleural cavity, with a small pleural space separating the lungs from the chest wall. This cavity is lined by the pleural lining, which also creates a small pleural fluid to reduce the friction between the chest wall and lungs while breathing.

Fluid in the lungs

The most common cause of fluid in the lungs is mucus or mucous produced by the lining of the airways. The airway is lined with a mucous membrane that produces a specialized tissue that produces smucus. This mucus lubricates the lining, which can dry out due to the movement of air and out of the channels as well as stopping dust or microorganisms in the air. However, under certain conditions, the mucous membranes of the respiratory tract can generate excessive amounts of mucus and this can slowly sink down the air ducts until it settles in the lungs. The cough reflex or even spontaneous coughing will usually expel most mucus through the mouth (sputum), but in cases of excessive mucus production, obstructive airway disease or diminished cough, the build up of mucus will quickly settle in the lungs.

Lung water or water in the lungs usually results from the interstitial fluid or blood plasma and may be an indication of a serious underlying condition, usually cardiovascular disease. This fluid in the lungs is known as pulmonary edema and may be accompanied by shortness of breath or shortness of breath (dyspnoea), a feeling of suffocation, anxiety and restlessness. Abnormal breathing sounds are also present, especially crackling. Pulmonary edema could be considered a medical emergency and really immediate medical intervention is necessary.

Blood can also fill in the lungs, but this usually happens as a result of severe trauma and the cause is evident, as in a shot or puncture wound. In most trauma cases, where blood can fill the lungs, the lungs collapse and the blood in the lungs collects in the chest cavity (hematothorax). Infections such as tuberculosis (TB) or lung cancer can also lead to blood accumulation in the lungs. Depending on the severity of the trauma, blood in the lungs will cause drowning and requires immediate medical attention. Pus can also occur in the lungs due to a lung abscess and also requires immediate urgent medical attention.

Causes of the fluid inside the lung
    • Bronchitis is the most common cause of mucus in the lungs and is often characterized by persistent cough. This respiratory disease can develop after the common cold or flu (seasonal influenza). often as a result of a secondary bacterial infection, but may also be more chronic and non-infectious as in the case of smokers.
    • Infections may cause hypersecretion of mucus in the respiratory tract and / or pulmonary edema and this includes viral (eg H1N1 swine flu, SARS severe acute respiratory distress syndrome), bacteria (eg tuberculosis, streptococci or pneumococcal pneumonia), fungi (eg histoplasmosis, aspergillosis, candidiasis) and parasitic (example toxoplasmosis) infectious agents.
    • Pneumonia can also cause lung water or fluid with a thinner viscosity. This can only occur on the affected lung lobe due to inflammation of the lung tissue. Pneumonia is not only caused by infection, but may be due to gastric contents being aspirated from the stomach into the lungs.
    • Allergy symptoms typically lead to increased mucus production, however, in specific acute cases there might be pulmonary edema. Retronasal can often cause phlegm collection in the lungs and allergies can cause inflammation of the bronchi and mucus in the chest of the asthmatic.
    • Near drowning results in fluid in the lungs and even if all the fluid is drained from the lungs, it is important to monitor the patient in the hospital to prevent dry drowning.
    • Many cardiovascular conditions may cause pulmonary edema, including hypertension (high blood pressure), myocardial infarction (heart attack), valvular heart disease or cardiomyopathy (damaged heart muscle).
    • Hypoalbuminemia can be caused by kidney failure, liver disease, malnutrition or protein enteropathy.
    • Kidney failure pulmonary edema, as the kidneys may not be able to filter out toxins in the blood.
    • Smoke inhalation can cause severe inflammation of the lung tissue, which leads to fluid accumulation in the lungs.
    • Lymphatic insufficiency lead to inadequate drainage of lymphatic fluid.
    • Side effects of drugs in a pulmonary edema may result and this includes OTC (over-the-counter) or prescription drugs. Narcotics or anesthetics. This may also occur after the application of the drug, when the effect of the drug appear to have worn out.
    • Inhalation, Ingestion or Injection Toxins or toxins may increase the permeability of the vessel walls, resulting in pulmonary edema. Some toxins can also increase mucus production in the lining of the lungs.
    • Autoimmune diseases such as sarcoidosis can cause fluid in the lungs due to the inflammation of the lung tissue.
    • The lack of oxygen due to high altitude can cause pulmonary edema, COPD (chronic obstructive pulmonary disease) and suffocation.

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Fluid outside the lungs

Pleural effusion is when the fluid around the lungs accumulates in the pleural space. Blood (hematothorax), fatty lymph fluid (chylothorax) or pus (empyema) can also fill the pleural space, although this occurs less frequently. Any fluid accumulation in the lungs should be taken seriously and require immediate medical attention. The fluid accumulation in the lungs compressing the lungs and this prevents normal breathing, which results in inadequate gas exchange. The types and causes of pleural effusions are discussed extensively with fluid in the lungs.

Some causes of fluid around the lung

    • Congestive heart failure is probably the most typical brings about of pleural effusion. This fluid is thicker (transudative) due to protein that is forced out of the blood vessels and into the pleural space.
    • Exudative effusion is an aqueous fluid accumulation due to inflammation caused by lung cancer such as pleural mesothelioma infections such as TB or pneumonia. Lung diseases such as asbestosis or drug reactions.
    • Hematothorax may be unusual in that a result of trauma or rupture of the large blood vessels in the case of an aortic aneurysm although the latter is caused by a pleural effusion.
    • Empyema is often due to the accumulation of pus in the pleural space to a lung abscess.
    • Chylothorax is the accumulation of lymph fluid, which has a high concentration of fat, and occurs in certain cancers, such as lymphoma.
    • Some of the causes of lung fluid accumulation can also cause pleural effusion, including kidney failure and liver disease.
The diagnosis of fluid in the lungs

During physical examination, your doctor will be able to identify unusual sounds, such as bubbling or crackling (rattling) with a stethoscope on your breathing. A whistling sound (Stridor) as well as clearly audible when you exhale. Percussion is a knocking motion done against the chest wall and will help your doctor identify with areas of the lungs that might be affected. Typically fluid accumulation causes a muffled sound compared to the normal hollow sound of the air filled lungs. Based on clinical findings and other signs and symptoms, your doctor may request further diagnostic tests that may include the following steps.

    • X-ray of the thorax is one of the most important diagnostic examinations performed to identify the severity and region that is affected. For further imaging, a thorax CT scan or chest ultrasound can be performed.
    • Due to the frequency of cardiovascular in the lungs fluid-related disorders, your doctor may perform an ECG (electrocardiogram), ultrasound of the heart (echocardiography) and other cardiac examinations.
    • Fluid may be aspirated from the pleural cavity, known as thoracocentesis, but this has been done carefully to prevent pneumothorax (accumulation of air into the pleural cavity). A pleural fluid analysis is then performed to identify the type of exudate or any microorganisms.
    • Sputum culture may be necessary to identify the cause of the infection.
    • Number of blood tests can be requested from your doctor to check kidney and liver function, proper gas exchange and heart disease.
The treatment of fluid in the lungs

Treatment depends on the cause of the fluid in the lungs. Some of the treatment options may include:

    • Antibiotics, antiviral or antifungals may be required in the event of infection.
    • Diuretics assist with additional fluid passing, but should be used cautiously in the case of heart disease.
    • Antihistamines may require allergic reactions, and these must be continued on a chronic basis to prevent exacerbations.
    • Corticosteroids can be useful for controlling inflammation and mucus production, as in asthma, and this can be used over the long term to prevent acute attacks.
    • Chest tube with a tube may be necessary for a empyema or a therapeutic pleural function, required for a pleural effusion.
    • Antihypertensives can be given in cases of hypertension.
    • Oxygen is administered in serious cases of fluid within the lungs, in which appropriate gas exchange is impaired. While this does not immediately treat the cause of the fluid in the lungs, except in a lack of oxygen, it helps with adequate gas exchange.
    • Physiotherapy could possibly be important to help with mucus drainage.

Frequent Infections And Inflammation Of The Lungs

Respiratory Diseases As the days get shorter again and autumn and winter bring down cold, wind and rain, our immune system is under heavy strain. Added to this is dry heating air, which irritates and dehydrates our mucous membranes.

In the winter, many people bustle together in warm, closed rooms, buses and subways, which increases the risk of infection.

So bacteria and viruses are particularly easy to penetrate our body. When many people gather in warm, closed rooms, buses and subways in winter, the risk of infection is also increased: winter time is therefore also the time of acute respiratory infections. The spectrum ranges from a simple cold over the real flu to acute bronchitis or adult pneumonia.

The most harmless form of respiratory infections is a cold. Incidentally, it is sometimes referred to as a flu infection. Compared to the real flu but it runs harmless. Predominantly, a cold is triggered by viruses that affect the upper respiratory tract. Therefore, treatment with bactericidal antibiotics does not help here either. Usually, the disease begins two to four days after infection by droplet infection and usually lasts at most one week.

Typical signs of real influenza, influenza, are sudden high fever, dry cough, muscle and headache, and fatigue. The flu outbreaks that pass through Germany every winter are caused by influenza viruses. A vaccine can protect against infection. However, you should get vaccinated again every year against the flu, because the viruses are very versatile and the vaccine must be adjusted regularly. The Robert Koch Institute recommends vaccinations especially for pregnant women, elderly people and people with chronic illnesses.

If the pathogen penetrates deeper into the respiratory tract, as a result of a cold or flu, the mucous membranes of the bronchi can also become acutely inflamed. One speaks then of an acute bronchitis. In more than 90 percent of cases, viruses are the trigger, rarely bacteria. Since acute bronchitis can also become chronic, it is important to treat this condition properly and adequately.

One of the most serious respiratory infections is pneumonia. The most common causes of the disease are bacteria of the species Streptococcus pneumoniae. But other bacteria, viruses or fungi can lead to inflammation of the lung tissue. The treachery of pneumococcal pneumonia is that it can often lead to very severe symptoms without warning. It is also possible to get vaccinated against pneumococci, as in the case of influenza, people from risk groups are recommended to have a vaccine.

In recent years, the number of whooping cough cases increased again. This is mainly due to the fact that the vaccine against this highly infectious infectious disease gradually decreases and adults would have to refresh him. Pertussis, as the whooping cough in technical language is called, is a bacterial infection. The disease can be very tedious and life threatening especially for small children. It begins like a harmless cold with a cold and cough, but changes in the course of the typical bouts of attacks of coughing that occur especially at night.

The bacterial infectious disease that still causes most deaths worldwide is tuberculosis. In 2014, about 9.6 million people worldwide fell ill. In Germany, the rate of newly diagnosed tuberculosis infections is comparatively low, but in 2015 the Robert Koch Institute observed an increase to 5,865 cases compared to 4,533 cases in the previous year. Above all, people whose immune system is weakened are at risk. Contagion occurs through close contact with patients, usually by droplet infection via the lungs. In most cases, the body succeeds in successfully controlling the bacteria or isolating them. These inflammatory sites (tubercles), which are enclosed by the immune system, can be visualized on the x-ray and also give their name to the disease. An infection can now be treated well with a combination of antibiotics, however, multidrug-resistant tuberculosis pathogens have been a growing problem in recent years.

Inflammation in the lungs naturally also plays a central role in chronic lung diseases such as asthma or Chronic Obstructive Pulmonary Disease (COPD).

Lungs, Pneumonia and Respiratory Diseases

Anyone who is healthy breathes automatically – without thinking about what the lungs do. Some even blame the vital organ for exertions such as smoking. This can lead to mortal danger in diseases of the lungs and respiratory tract.

The human lungs: every day in adults, around 10 000 liters of air flow through.

Without realizing it, adult, healthy people breathe at rest about 12 to 16 times a minute. Each time, about half a liter of air flows through the airways into the lungs and out again.

Construction and location

Physicians refer to all parts of the body, which are traversed by the inhalation and exhalation of air as airways: Through the mouth and nose, the air passes through the throat into the trachea. The trachea lies behind the breastbone and divides in the thorax into a left and a right main bronchus. These lead together with the respective pulmonary vessels to the left or right lung.

The lung (Latin: Pulmo) is in fact paired. Each of the two lungs is supplied with its own blood vessels and, with the respective main bronchus, also has its own air supply, which enters the lungs together with the veins and arteries at the so-called pulmonary hilum. The left lung is slightly smaller than the right and consists of only two instead of three lobes, because in its vicinity the heart is located and thus less space available. Each main bronchus divides according to the number of lung lobes in so-called lobe bronchi and then branches out into Segementbronchien and ever smaller bronchi and bronchioli until at the end of the small alveoli, the so-called alveoli.

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They are the place where the lung performs its most important function, the gas exchange, giving the lung tissue its spongy appearance.

What is the job of the lungs and respiratory system?

The airways not only carry air into the lungs, cilia on their walls also purify the air. Foreign matter such as bacteria and dust particles remain hanging in it and are transported along with the lying on the cilia on the pharynx throat direction. He is either swallowed unnoticed or – for example, if the cilia are unable to afford the transport – coughed off.

The most important task of the lung is the gas exchange. Since our body needs a lot of oxygen and has to excrete corresponding amounts of carbon dioxide, a large area is necessary for this. These provide the alveoli. They have very thin walls that almost directly border the blood vessels. This makes it possible for the oxygen from the respiratory air to pass through these walls into the oxygen-poor blood of the pulmonary vessels, while the carbon dioxide passes from the blood into the alveoli.

Pulmonary and respiratory diseases

If the lungs become infected, it can hinder breathing and even have life-threatening consequences. It is not for nothing that lung and bronchial cancers, chronic obstructive pulmonary diseases and pneumonia are among the ten leading causes of death in Germany. One of the most important risk factors for lung disease is smoking. Because tobacco smoke not only favors the development of malignant diseases such as lung cancer, but also damages, among other things, the cilia, which transport phlegm and pathogens outside. This increases the risk of infection. Certain lung diseases such as Chronic Obstructive Pulmonary Disease (COPD) are very often the result of many years of smoking. If you want to do something good for your lungs, then you should do without cigarettes and similar tobacco products.

Everything You Should Know About Chronic Bronchitis, Causes, Symptoms And Therapy

Persistent coughing with sputum indicates chronic bronchitis. Smoking is the most important risk factor. Those who ignore the signs risk serious lung disease.

In short, what is chronic bronchitis?

Chronic bronchitis means that the bronchi are permanently inflamed. According to the World Health Organization (WHO), bronchitis is considered to be chronic if the symptoms of cough and sputum persist for two consecutive years for at least three months each year.

The bronchi are the continuation of the trachea. It divides into two main bronchi at the lower end. These lead the breathing air into the two lungs. There, the bronchi branch out ever finer until they end in the microscopic small alveoli, where the actual gas exchange, ie the vital intake of oxygen and release of carbon dioxide takes place.

Approximately ten percent of the population suffer from chronic bronchitis during their lifetime. Smoking is considered the biggest risk factor (colloquially “smoker’s cough”), but there are also many other triggers, which is why a reduction in smoking behavior falls short.

The most important therapy measure for smokers is the smoke stop. Various medications, adapted sports and special breathing techniques can help additionally.

Chronic bronchitis can lead to COPD – a chronic obstructive pulmonary disease. The airways are then permanently constricted and alveoli are broken down (emphysema). Read more about it in the COPD guidebook and in the guide to emphysema.

Everything-About-Chronic-Bronchitis

Causes and risk factors: How does chronic bronchitis develop?

Risk of tobacco smoke: Smoking is the leading cause of chronic bronchitis. Tobacco smoke damages the respiratory tract in different ways: First, it destroys the cilia in the bronchial mucosa. These normally transport mucus and pollutant particles contained therein and thus exercise a cleaning function. On the other hand, tobacco smoke promotes inflammatory processes, weakens the immune system and causes more mucus to be formed in the bronchi. Especially at night while lying down secretions accumulate, which leads to morning cough with sputum. Passive smoking also increases the risk of chronic bronchitis.

Air pollutants: Certain gases, dusts and vapors pollute some people in the workplace. These pollutants can also cause lung problems and cause chronic bronchitis.

Common respiratory infections: Bacterial and viral infections are more common in chronic bronchitis. It often remains unclear whether they are the cause or the consequence of the respiratory disease.

Genetic causes: A certain genetic component can be identified in chronic bronchitis and its consequences. Alpha-1-antitrypsin deficiency, which increases the risk of pulmonary emphysema and may be associated with symptoms of chronic bronchitis, cystic fibrosis, where lung involvement often begins as chronic bronchitis, and ciliary disorder, in which mutations are either missing or defective, are well characterized Formation of the cilia on the bronchial mucosa leads.

Other underlying diseases: Certain diseases are associated with chronic bronchitis. It is usually hard to recognize cause and impact. Examples are asthma, chronic sinusitis and pulmonary tuberculosis. A hyperreactive bronchial system, as is typical in people with an allergy, may in rare cases favor chronic bronchitis.

Is chronic bronchitis contagious?

Chronic bronchitis is not intrinsically contagious – unlike acute bronchitis, which is often the case. If respiratory tract infections occur as part of chronic bronchitis, they can be contagious.

Symptoms: How is chronic bronchitis noticeable?

The classic symptom of chronic bronchitis is coughing with expectoration of viscous mucus. The cough occurs especially in the morning.

Chronic bronchitis often begins insidiously and may initially go unnoticed. Because a clogged cough that lasts for a long time, sufferers often lead back to a supposedly harmless, perhaps “abducted” cold. They do not take the symptom seriously.

Chronic bronchitis can be fluent in COPD. If there is shortness of breath and tightness of the chest during physical exertion, this is a possible sign that COPD has already developed. However, there may be other causes behind such symptoms, such as angina pectoris.

When is a bronchitis chronic?

According to the WHO definition, it is a chronic bronchitis if the symptoms of coughing and expectoration occur for two consecutive years for at least three months a year most days of the week.

What is an exacerbation?

Doctors speak of an exacerbation when the patient’s complaints suddenly worsen. This occurs especially in advanced disease and during the cold season. In the majority of cases respiratory infections are the trigger. If very severe COPD is present, an exacerbation can be life-threatening.

Important: Take respiratory symptoms seriously. See the doctor if symptoms persist like coughing persistently or if shortness of breath occurs.

Chronic bronchitis: What are the consequences of the disease?

If chronic bronchitis progresses, this can have negative consequences:

Pulmonary emphysema: Pulmonary emphysema mainly affects the pulmonary alveoli of the lungs. They are indispensable for the absorption of oxygen. In pulmonary emphysema, they gradually merge into larger bubbles, the walls of the alveoli are degraded. Air remains trapped in the lungs. In addition, the inner surface of the lung continues to decrease. Although the respiratory muscles become more active, the gas exchange remains insufficient. This creates the feeling of shortness of breath or shortness of breath. Emphysema can not be undone. Read more in the guide Counselor Lungenemphysem.

Right heart failure (weakness of the right ventricle): In pulmonary emphysema, the blood vessels in the lungs are partly degraded, sometimes narrow. The blood must flow through fewer and narrower vessels. This is only possible by increased pressure, a pulmonary hypertension arises. The right ventricle of the heart needs to apply more force to pump the blood into the lungs. The heart enlarges, the muscle mass increases, it does not work more efficiently. This leads to right heart failure with symptoms such as shortness of breath and swollen legs.

Diagnosis: How to recognize a chronic bronchitis?

Information on complaints, medical history and lifestyle of the person concerned provide the doctor with first clues. Next, he listens and pats the patient’s chest. Under certain circumstances, a whistling or humming noise can be heard when exhaling, with secretion in the bronchi you can hear rattling breath sounds even during inhalation.

The diagnosis of chronic bronchitis is essentially based on the information provided by the patient. However, the doctor must rule out other diseases as a possible cause of the symptoms, for example, asthma, pneumonia, pulmonary embolism, lung cancer, tuberculosis or heart disease. Different investigations may be required. Chronic cough can also be a side effect of certain medications (antihypertensive drugs: ACE inhibitors) and is often associated with heartburn and reflux. More in the guidebook gastroesophageal reflux disease.

It is important to recognize the onset of bronchoconstriction as early as possible so that the disease is still treatable. Therefore, the doctor checks the lung function with a lung function test, spirometry. The patient blows with maximum force into a meter, after he has inhaled deeply. Among other things, this method is used to determine the characteristic value “FEV1”: the forced exhaled (exhaled) volume in the first second. The FEV1 value in relation to the total exhaled air (so-called expiratory, forced vital capacity, FVC) provides information on whether the airways are narrowed or how much the breathing is impaired. Read more in the text Spirometry. With the help of whole-body plethysmography, the bronchial constriction and the extent of pulmonary hyperinflation can be recorded more accurately and also during quiet, normal breathing. A whole body plethysmography is usually performed only by the lung specialist.

A blood gas analysis can be used by the doctor to check the oxygenation of the organism and the exhalation of the carbon dioxide.

Exercise tests (bicycle or treadmill ergometry, spiroergometry) often show changes in lung function more clearly and earlier than at rest.

If an infection is suspected, the doctor can also have a sample of the morning sputum (sputum sample) examined for germs and make an X-ray of the lung – the latter can also make a bronchial carcinoma visible.

Furthermore, if necessary, diagnostic procedures such as a blood sample, a bronchoscopy (lung reflection) or an ECG (electrocardiogram) are eligible.

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Therapy: What helps with chronic bronchitis?

Stop Smoking / Exposure Stop: Anyone who stops smoking can slow the progression of chronic bronchitis. Already three days after the last cigarette, the lung function improves. Over time, coughing subsides, the bronchi make less mucus. The lung cancer risk is reduced significantly. Those exposed to other pollutants in the air should try to avoid them in the future.

Medications: They do not fight the cause of chronic bronchitis. But they can alleviate symptoms and improve well-being. The exact therapy depends, among other things, on the severity of the disease. With a low severity of COPD, the doctor prescribes short-acting bronchodilating drugs (beta-sympathomimetics or anticholinergics). The patient can take them if necessary when he feels a need for air. If the disease progresses, usually long-acting bronchial dilating sprays are added, which the patient uses regularly. In addition, the doctor may prescribe a cortisone preparation. Cortisone has anti-inflammatory effects. You can read more about the treatment of COPD in the guidebook COPD.

Further measures

Respiratory Physiotherapy: Special breathing techniques (such as the so-called “lip brake”) and a posture that facilitates breathing contribute to maintaining quality of life and resilience despite impaired lung function.

Exercise: Physical training is a central part of the therapy. Anyone who practices adapted sport – for example in a lung sports group – can best maintain the resilience and functionality of their body. Regular physical activity also reduces the risk of exacerbation, ie a sudden worsening of bronchitis symptoms. The sport should take place under medical supervision, so that the patient is not overwhelmed.

Diet: Overweight influences the course of the disease as well as underweight. Especially the latter is accompanied by an unfavorable prognosis. An adapted diet should be done in collaboration with a nutrition expert.

Healing chances: is a chronic bronchitis curable?

Chronic bronchitis can completely recede in the early stages. Thus a cure is possible in principle. The decisive factor is that those affected eliminate smoking or other inhaled pollutants. However, if the bronchi are already constricted, so that a COPD has developed, the disease can no longer be completely cured. However, the course and the life expectancy can be positively influenced – by a consistent therapy.

COPD – Diet For Chronic Lung Diseases

COPD stands for chronic obstructive pulmonary diseases. It is popularly called the smoker’s lung, which often shows the typical “smoker’s cough”, with shortness of breath and expectoration. Although the majority of smokers are affected, the number of non-smokers affected has steadily increased for years. Proper nutrition can not only prevent COPD. It can also influence the course of the disease very positively in the presence of an existing illness and make life worth living again. You can finally breathe easier, the mucus dissolves and the coughing subsides.

The diet determines the course of the disease in COPD

A wrong diet is also increasingly mentioned in scientific circles as a contributory cause of chronic diseases. Because the type of diet determines significantly whether an existing chronic disease progresses and is getting worse or whether it can improve again.

This applies to a variety of ailments, whether it is depression, arthritis, psoriasis, high blood pressure, breast cancer, polyneuropathy, multiple sclerosis, psychosis or whatever.

First studies have long been published, which prove the importance of nutrition in COPD and asthma. The very fact that obesity is a significant risk factor for lung disease and overweight is usually the result of an unhealthy diet, shows that it is high time to change the diet, which usually automatically leads to a normalization of weight.

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Even some pulmonary specialists now advise a change in diet, so that it has long been appropriate reports on this experience:

Experience: Basic nutrition improves COPD

“My pulmonologist recommended a basic diet. I was skeptical at first. But if I consistently implement this diet, I can breathe easier, cough less and have significantly less mucus in my throat. I eat vegetables and low-acid fruits. I add a pinch of soda (sodium bicarbonate) to my drinking water and eat six small meals instead of the usual three large meals.

Some fish and poultry are allowed. Coffee, carbonated drinks, red meat, chocolate and fried are taboo. At first I was worried that I would lose weight, but I did not lose much weight and regained it in terms of muscle mass thanks to my sports program. My new diet has another advantage. I no longer need acid blockers for the stomach. However, as soon as I sin, I notice it immediately, I feel worse and I return with pleasure to my basic diet. ”

Of course, there are always feedbacks like this: “I had to quit smoking. If I can not eat all that, what I like, I have no more joy in life. “Here is a decision to make: to feel good and to enjoy the enjoyment of healthy food or sitting in the old mess stay and cough the soul out.

COPD risk decreases by one third with proper nutrition

We have already reported on a study published in February 2015 in the British Medical Journal. A full-bodied vegetable-rich diet had reduced COPD risk by a third in this study!

COPD is the acronym of Chronic Obstructive Pulmonary Disease (English: Chronic Obstructive Pulmonary Disease). It is a group of different respiratory diseases, including chronic obstructive bronchitis and pulmonary emphysema.

COPD-related diseases are characterized by systemic (whole-body) inflammation, respiratory tract inflammation, pulmonary function disorders and shorter life expectancy. Main symptoms are cough, bronchitis, sputum and respiratory distress.

In 2015, 30,000 people died of COPD in Germany alone. By comparison, lung cancer had 45,000 in the same year. However, lung health can be very well influenced by the diet.

In COPD, a change in diet is an important part of the therapy!

In the journal Nutrients, a review of the Center for Asthma and Respiratory Diseases of the University of Newcastle, Australia, was published in March 2015. The study focused on the influence of diet on lung health and especially on chronic obstructive pulmonary disease (COPD).

The participating researchers wrote that although medical care in this area is progressing more and more, a change in diet should always be carried out as an adjunct. For example, the Mediterranean diet offers itself as it has a protective effect against respiratory diseases in epidemiological studies.

Mediterranean diet instead of typical western diet

In the Mediterranean diet, you eat the most natural foods possible, such as fruits, vegetables, whole grains, legumes, nuts and seeds, accompanied by occasional fish meals. Dairy products, meat and poultry are rare. The source of fat is olive oil, which automatically reduces the consumption of unhealthy fats.

By contrast, the typical Western diet (white flour, meat, dairy, sweets, fries, salty snacks, and sweet desserts) increases the risk of becoming a victim of respiratory disease (asthma, COPD, etc.), and children who like to eat fast foods are more likely to develop asthma , That’s no surprise, as even a single high-fat fast-food meal increases the inflammation of the respiratory tract.

Fruits and vegetables improve lung function values

Fruit and vegetables, on the other hand, contain plenty of nutrients, such as antioxidants, vitamins, minerals, fiber and phytochemicals. All these substances are known to have a very good effect on human health, and thus also on the lungs and respiratory tract. Children and adults are therefore less likely to suffer from respiratory illnesses when they are practicing a high-fruit and vegetable diet. Eating children, however, little vegetables, then you are more likely to develop asthma.

In adults, a study showed that increased fruit intake over two years increases the so-called FEV1, a lung function value that usually continues to decline in COPD. Another study found that years of low fruit intake caused a falling FEV1.

In two randomized controlled trials with COPD patients, the 12-week study showed that high fruit and vegetable intake did not alter FEV1 nor did it affect inflammatory or oxidative stress levels in the respiratory tract.

Apparently, the time frame was too short, because in a three-year study with 120 COPD sufferers, the lung function score in the higher fruit and vegetable intake group improved significantly compared to the low-fruit and low-vegetable control group, so it can be assumed that short-term fruit and vegetable cures make no sense, but rather a permanent change in diet is recommended.

Minerals in COPD

Also, a comprehensive mineral supply should be self-evident in COPD. In asthma, it is known that the increased intake of magnesium, calcium and potassium reduces the risk of illness.

Calcium

Calcium intake in particular seems to be more difficult in COPD patients, as a study showed. The subjects consumed enough calcium but had low calcium levels. However, this may also be due to a vitamin D deficiency, as vitamin D promotes calcium absorption from the intestine. If vitamin D is missing, calcium deficiency becomes more likely.

Magnesium

Since magnesium relaxes the muscles of the bronchi and overall improves the lung functions, a good supply of magnesium for respiratory diseases is also enormously important.

Selenium

In some studies, a selenium deficiency has also been shown to promote the development of lung diseases, so that this trace element could also be included in a holistic therapy of COPD – not least because selenium promotes the body’s ability to detoxify and thus protect the organism from harmful substances. which otherwise can damage the lungs in particular. What selenium preparations come into question and how they are dosed, we have explained here: selenium for detoxification

Fiber in COPD

On a fiber-rich diet, you usually pay attention only when the digestion causes problems. Also, to prevent diabetes or to lower the cholesterol level, dietary fiber is often eaten.

In lung diseases, however, one generally does not immediately think of oat bran, wholemeal bread and baobab. But you should. Because a study from January 2016 showed that the lungs with daily 20 grams of fiber were in much healthier condition than in humans who ate low fiber. Yes, in populations that eat high-fiber diets, only half as many suffer from respiratory ailments than those who prefer white-rot, meat, and dairy-all low-fiber foods.

Omega-3 fatty acids

Omega-3 fatty acids are among the polyunsaturated fatty acids with u. a. anti-inflammatory effect. They are usually offered as a dietary supplement in capsule form – either as fish oil or algae oil, but are also contained in numerous foods.

Fish consumption is often called ideal if you want to provide enough omega-3 fatty acids. For the lungs, fish consumption does not seem to offer a health guarantee, as previous study results are extremely mixed. They either showed that fish consumption is associated with an increased risk of lung disease, has no impact on lung health or can improve lung function.

However, further studies have shown that higher levels of DHA reduce COPD risk and lower COPD levels of inflammation and support disease recovery. Dietary supplementation with DHA-rich omega-3 supplements (eg algae capsules Opti3) would therefore be an important component of holistic therapy for COPD.

Vitamin D in COPD

With nutrition, vitamin D can rarely be taken in relevant amounts. It is therefore a special case, because it can be made by the body with the help of sunlight itself. For the sake of completeness and because of its importance, we call it here anyway.

Studies show a clear correlation between good vitamin D supply and lung health. Although the exact mechanisms of this compound are not yet known, there is every indication that it makes sense to exclude or remedy a vitamin D deficiency if you have a lung disease or want to prevent it. Because a corresponding deficiency increases the risk of developing COPD.

For example, it is known that respiratory infections in COPD are unfavorable and should be avoided because they accelerate the course of the disease. Vitamin D now strengthens the immune system and reduces the susceptibility to respiratory infections, as Zosky et al. Wrote in 2013 in Nutrients.

In fact, one study from 2005 and another from 2012 showed that the better their vitamin D status was, the better lung function in COPD patients. Incidentally, smoking prevents the protective effect of vitamin D (Uh, Park et al., 2012).

We have also reported here that unfavorable vitamin D status increases the risk of asthma and leads to more frequent seizures and increased cortisone use in asthmatics. Yes, a vitamin D deficiency in pregnancy interferes with the child’s lung development so that it is later exposed to a higher risk of lung disease.

How to determine a vitamin D deficiency and to remedy this with individually appropriate vitamin D doses, we have described in our article on the correct vitamin D intake.

Antioxidants and oxidative stress

As with any chronic disease, oxidative stress caused by free radicals also plays a key role in COPD and other lung diseases. Free radicals are produced in the lungs by cell reactions to air polluting particles (dust, smoke, chemicals, etc.). They further enhance the inflammatory processes that are already present in COPD.

However, the better the supply of antioxidants, the better the body can cope with oxidative stress. Because antioxidants neutralize free radicals and stop their destructive activities. The most important antioxidants in a healthy diet include vitamins C and E, flavonoids and carotenoids, all of which are especially abundant in fruits and vegetables, as well as in nuts, vegetable oils, cocoa and green tea.

The carotenoid lycopene, for example, has been shown to be beneficial in lung disease, as pulmonary functions in asthmatics and COPD patients were all the better the more lycopene-rich foods they consumed. Even with a dietary supplement with lycopene, there were improvements, as the substance can relieve inflammation in the airways.

We have already reported food for lung repair here. In addition to apples, tomatoes play the main role in this article as they help in the regeneration of lung tissue and inhibit its aging process.

Another carotenoid is called beta-cryptoxanthin. It is, for example, in oranges, tangerines, pumpkins, red peppers, kakis, carrots and dandelions. Also, this substance has a very good effect on the health of the lungs and protects the respiratory organs from the harmful effects of smoking, so that especially passive smokers or ex-smokers should resort to these foods. Initial studies in animals showed that beta-cryptoxanthin could contribute to their shrinkage in existing lung tumors.

Flavonoids

Flavonoids are also plant substances with u. a. Antioxidant, anti-inflammatory and anti-allergic (histamine-inhibiting) effect and therefore extremely helpful for the sensitive respiratory tract. The administration of flavonoids improves bronchoconstriction (spasmodic constriction of the bronchi) and inflammation. The latter, thanks to the flavonoids, improve not only in the respiratory tract, but in the whole organism.

The flavonoids include 6 subspecies: flavones, flavonols, flavanones, isoflavones and flavanols. There is hardly any vegetable food that does not contain at least one of these flavonoid representatives. The best flavonoid sources are therefore: fruits, vegetables, nuts, seeds, dark chocolate, tea, herbs and spices.

Vitamin C in COPD

Another top-class antioxidant is the vitamin C. It also has anti-inflammatory and anti-asthmatic and anti-allergic. Although there are also inconsistent results here, sometimes the vitamin improves the lung functions, sometimes there is no effect of vitamin C intake. From a holistic point of view, these investigations should not unsettle. Because no doubt you should not rely solely on vitamin C, but integrate the vitamin with many other measures in a comprehensive concept.

In mice that were unable to produce vitamin C for genetic reasons, the administration of vitamin C protected against lung disease, reduced oxidative stress in the airways, and helped to regenerate damaged lung tissue.

A study from Taiwan found that COPD patients usually had a low-vitamin C diet and / or had lower vitamin C levels than healthy people. Conversely, a study of 7,000 adult volunteers showed that increasing vitamin C levels can protect against COPD.

A healthy diet is automatically high in vitamin C, but can be supplemented with natural vitamin C supplements, such as acerola powder, sea buckthorn juice or rosehip powder.

Vitamin E

Vitamin E works closely with vitamin C. If vitamin E neutralizes free radicals, it is initially disabled itself. Vitamin C can now revitalize vitamin E so that it can once again plunge into the fight against oxidative stress. Whatever illness one suffers from, both vitamins should be present in sufficient quantities.

A human study showed that vitamin E reduces inflammatory processes, improves pulmonary function and relieves breathing difficulties, but mostly only in those subjects who previously had low vitamin E levels. As is so often the case, taking vitamins does not help everyone, but only where there is a need.

Vitamin E reduces levels of oxidative stress in COPD patients. Since there is a heavy burden of oxidative stress activities, especially during a push, it is not surprising that in these phases the vitamin E levels are very low, as now much of this vitamin is consumed.

If the illness flares up, then at the latest now an increased supply of vitamin E should be considered. Vitamin E is also helpful as a preventative measure. With sustained good vitamin E supply, the risk of developing a chronic lung disease could be reduced by 10 percent. That sounds little. However, considering that vitamin E is ONLY one measure of many and every single measure contributes to reducing the risk, then overall, a very good protection comes about.

Vitamin E sources

Good sources of vitamin E are wheat germ oil, sunflower oil, almonds, hazelnuts, sunflower seeds, peanuts and moringa. The vitamin E requirement of an adult is about 15 mg per day, which alone would put in 1 tbsp wheat germ oil or 4 tbl sunflower oil.

For comparison: 1 tbsp of olive oil provides only 1.3 mg of vitamin E, but is preferable to sunflower oil and wheat germ oil because of the better fatty acid ratio (omega-3 / omega-6). Of course you can still use some of these oils from time to time, but not only and not daily in large quantities.

The need for vitamin E could, for example, be met as follows, with the particular amount of vitamin E present in parentheses. The sum is 17.3 mg of vitamin E. (The respective amount of consumption can of course be adjusted entirely to the personal energy requirement):

    • 20 g hazelnuts or almonds (5 mg)
    • 10 g sunflower seeds (2 mg)
    • 10 g Moring Powder (4 mg)
    • 100 g whole grain bread (1 mg)
    • 80g quinoa raw (1.1mg)
    • 30 g of oatmeal (0.4 mg)
    • 1 tbsp olive oil (1.3 mg)
    • 500 g of fruits and vegetables (average 0.5 mg of vitamin E per 100 g, makes 2.5 mg)

Healthy diet in COPD

Alone from this list you could now put together a very healthy diet for COPD. Because these foods provide not only vitamin E, but almost everything it needs to maintain lung health, restore or improve existing lung diseases: fiber, antioxidants, minerals, vitamins, carotenoids and flavonoids.

Of course, one supplements the nutritional plan with healthy sources of protein, nibbles dark chocolate (antioxidants in cocoa), drinks a cup of green tea from time to time and alternates again and again, so takes z. B. other nuts or kernels in between, other flakes, eats instead of quinoa whole grain rice, etc.

Only selenium, omega-3 fatty acids and vitamin D are additionally taken as a dietary supplement. If you would like to take additional supplements, the following are available:

Dietary supplement in COPD

Suction. BCAA, three specific amino acids (leucine, isoleucine and valine) that help regulate protein metabolism, are particularly good at building muscle, promote fat-free weight gain in underweight and also increase blood oxygenation (which is reduced in COPD), In some cases COPD is recommended – especially if weight loss is imminent in the course of the disease.

Curcumin from turmeric and sulforaphane from z. B. Broccoli sprouts are considered in COPD in question. Both are powerful anti-oxidants with anti-inflammatory effects, which have proven to be beneficial in initial studies in COPD. Turmeric is therefore also an important ingredient of the drink for lung cleansing.

COPD – Diet For Chronic Lung Diseases

COPD stands for chronic obstructive pulmonary diseases. It is popularly called the smoker’s lung, which often shows the typical “smoker’s cough”, with shortness of breath and expectoration. Although the majority of smokers are affected, the number of non-smokers affected has steadily increased for years. Proper nutrition can not only prevent COPD. It can also influence the course of the disease very positively in the presence of an existing illness and make life worth living again. You can finally breathe easier, the mucus dissolves and the coughing subsides.

The diet determines the course of the disease in COPD

A wrong diet is also increasingly mentioned in scientific circles as a contributory cause of chronic diseases. Because the type of diet determines significantly whether an existing chronic disease progresses and is getting worse or whether it can improve again.

This applies to a variety of ailments, whether it is depression, arthritis, psoriasis, high blood pressure, breast cancer, polyneuropathy, multiple sclerosis, psychosis or whatever.

First studies have long been published, which prove the importance of nutrition in COPD and asthma. The very fact that obesity is a significant risk factor for lung disease and overweight is usually the result of an unhealthy diet, shows that it is high time to change the diet, which usually automatically leads to a normalization of weight.

Even some pulmonary specialists now advise a change in diet, so that it has long been appropriate reports on this experience:

Experience: Basic nutrition improves COPD

“My pulmonologist recommended a basic diet. I was skeptical at first. But if I consistently implement this diet, I can breathe easier, cough less and have significantly less mucus in my throat. I eat vegetables and low-acid fruits. I add a pinch of soda (sodium bicarbonate) to my drinking water and eat six small meals instead of the usual three large meals.

Some fish and poultry are allowed. Coffee, carbonated drinks, red meat, chocolate and fried are taboo. At first I was worried that I would lose weight, but I did not lose much weight and regained it in terms of muscle mass thanks to my sports program. My new diet has another advantage. I no longer need acid blockers for the stomach. However, as soon as I sin, I notice it immediately, I feel worse and I return with pleasure to my basic diet. ”

Of course, there are always feedbacks like this: “I had to quit smoking. If I can not eat all that, what I like, I have no more joy in life. “Here is a decision to make: to feel good and to enjoy the enjoyment of healthy food or sitting in the old mess stay and cough the soul out.

COPD risk decreases by one third with proper nutrition

We have already reported on a study published in February 2015 in the British Medical Journal. A full-bodied vegetable-rich diet had reduced COPD risk by a third in this study!

copd-diet-for-chronic-lung-diseases

COPD is the acronym of Chronic Obstructive Pulmonary Disease. It is a group of different respiratory diseases, including chronic obstructive bronchitis and pulmonary emphysema.

COPD-related diseases are characterized by systemic (whole-body) inflammation, respiratory tract inflammation, pulmonary function disorders and shorter life expectancy. Main symptoms are cough, bronchitis, sputum and respiratory distress.

In 2015, 30,000 people died of COPD in Germany alone. By comparison, lung cancer had 45,000 in the same year. However, lung health can be very well influenced by the diet.

In COPD, a change in diet is an important part of the therapy!

In the journal Nutrients, a review of the Center for Asthma and Respiratory Diseases of the University of Newcastle, Australia, was published in March 2015. The study focused on the influence of diet on lung health and especially on chronic obstructive pulmonary disease (COPD).

The participating researchers wrote that although medical care in this area is progressing more and more, a change in diet should always be carried out as an adjunct. For example, the Mediterranean diet offers itself as it has a protective effect against respiratory diseases in epidemiological studies.

Mediterranean diet instead of typical western diet

In the Mediterranean diet, you eat the most natural foods possible, such as fruits, vegetables, whole grains, legumes, nuts and seeds, accompanied by occasional fish meals. Dairy products, meat and poultry are rare. The source of fat is olive oil, which automatically reduces the consumption of unhealthy fats.

By contrast, the typical Western diet (white flour, meat, dairy, sweets, fries, salty snacks, and sweet desserts) increases the risk of becoming a victim of respiratory disease (asthma, COPD, etc.), and children who like to eat fast foods are more likely to develop asthma , That’s no surprise, as even a single high-fat fast-food meal increases the inflammation of the respiratory tract.

copd-diet-for-chronic-lung-diseases-6

Fruits and vegetables improve lung function values

Fruit and vegetables, on the other hand, contain plenty of nutrients, such as antioxidants, vitamins, minerals, fiber and phytochemicals. All these substances are known to have a very good effect on human health, and thus also on the lungs and respiratory tract. Children and adults are therefore less likely to suffer from respiratory illnesses when they are practicing a high-fruit and vegetable diet. Eating children, however, little vegetables, then you are more likely to develop asthma.

In adults, a study showed that increased fruit intake over two years increases the so-called FEV1, a lung function value that usually continues to decline in COPD. Another study found that years of low fruit intake caused a falling FEV1.

In two randomized controlled trials with COPD patients, the 12-week study showed that high fruit and vegetable intake did not alter FEV1 nor did it affect inflammatory or oxidative stress levels in the respiratory tract.

Apparently, the time frame was too short, because in a three-year study with 120 COPD sufferers, the lung function score in the higher fruit and vegetable intake group improved significantly compared to the low-fruit and low-vegetable control group, so it can be assumed that short-term fruit and vegetable cures make no sense, but rather a permanent change in diet is recommended.

Minerals in COPD

Also, a comprehensive mineral supply should be self-evident in COPD. In asthma, it is known that the increased intake of magnesium, calcium and potassium reduces the risk of illness.

Calcium

Calcium intake in particular seems to be more difficult in COPD patients, as a study showed. The subjects consumed enough calcium but had low calcium levels. However, this may also be due to a vitamin D deficiency, as vitamin D promotes calcium absorption from the intestine. If vitamin D is missing, calcium deficiency becomes more likely.

Magnesium

Since magnesium relaxes the muscles of the bronchi and overall improves the lung functions, a good supply of magnesium for respiratory diseases is also enormously important.

Selenium

In some studies, a selenium deficiency has also been shown to promote the development of lung diseases, so that this trace element could also be included in a holistic therapy of COPD – not least because selenium promotes the body’s ability to detoxify and thus protect the organism from harmful substances. which otherwise can damage the lungs in particular. What selenium preparations come into question and how they are dosed, we have explained here: selenium for detoxification

Fiber in COPD

On a fiber-rich diet, you usually pay attention only when the digestion causes problems. Also, to prevent diabetes or to lower the cholesterol level, dietary fiber is often eaten.

In lung diseases, however, one generally does not immediately think of oat bran, wholemeal bread and baobab. But you should. Because a study from January 2016 showed that the lungs with daily 20 grams of fiber were in much healthier condition than in humans who ate low fiber. Yes, in populations that eat high-fiber diets, only half as many suffer from respiratory ailments than those who prefer white-rot, meat, and dairy-all low-fiber foods.

Omega-3 fatty acids

Omega-3 fatty acids are among the polyunsaturated fatty acids with u. a. anti-inflammatory effect. They are usually offered as a dietary supplement in capsule form – either as fish oil or algae oil, but are also contained in numerous foods.

Fish consumption is often called ideal if you want to provide enough omega-3 fatty acids. For the lungs, fish consumption does not seem to offer a health guarantee, as previous study results are extremely mixed. They either showed that fish consumption is associated with an increased risk of lung disease, has no impact on lung health or can improve lung function.

However, further studies have shown that higher levels of DHA reduce COPD risk and lower COPD levels of inflammation and support disease recovery. Dietary supplementation with DHA-rich omega-3 supplements (eg algae capsules Opti3) would therefore be an important component of holistic therapy for COPD.

Vitamin D in COPD

With nutrition, vitamin D can rarely be taken in relevant amounts. It is therefore a special case, because it can be made by the body with the help of sunlight itself. For the sake of completeness and because of its importance, we call it here anyway.

Studies show a clear correlation between good vitamin D supply and lung health. Although the exact mechanisms of this compound are not yet known, there is every indication that it makes sense to exclude or remedy a vitamin D deficiency if you have a lung disease or want to prevent it. Because a corresponding deficiency increases the risk of developing COPD.

For example, it is known that respiratory infections in COPD are unfavorable and should be avoided because they accelerate the course of the disease. Vitamin D now strengthens the immune system and reduces the susceptibility to respiratory infections, as Zosky et al. Wrote in 2013 in Nutrients.

In fact, one study from 2005 and another from 2012 showed that the better their vitamin D status was, the better lung function in COPD patients. Incidentally, smoking prevents the protective effect of vitamin D (Uh, Park et al., 2012).

We have also reported here that unfavorable vitamin D status increases the risk of asthma and leads to more frequent seizures and increased cortisone use in asthmatics. Yes, a vitamin D deficiency in pregnancy interferes with the child’s lung development so that it is later exposed to a higher risk of lung disease.

How to determine a vitamin D deficiency and to remedy this with individually appropriate vitamin D doses, we have described in our article on the correct vitamin D intake.

Antioxidants and oxidative stress

As with any chronic disease, oxidative stress caused by free radicals also plays a key role in COPD and other lung diseases. Free radicals are produced in the lungs by cell reactions to air polluting particles (dust, smoke, chemicals, etc.). They further enhance the inflammatory processes that are already present in COPD.

However, the better the supply of antioxidants, the better the body can cope with oxidative stress. Because antioxidants neutralize free radicals and stop their destructive activities. The most important antioxidants in a healthy diet include vitamins C and E, flavonoids and carotenoids, all of which are especially abundant in fruits and vegetables, as well as in nuts, vegetable oils, cocoa and green tea.

The carotenoid lycopene, for example, has been shown to be beneficial in lung disease, as pulmonary functions in asthmatics and COPD patients were all the better the more lycopene-rich foods they consumed. Even with a dietary supplement with lycopene, there were improvements, as the substance can relieve inflammation in the airways.

We have already reported food for lung repair here. In addition to apples, tomatoes play the main role in this article as they help in the regeneration of lung tissue and inhibit its aging process.

Another carotenoid is called beta-cryptoxanthin. It is, for example, in oranges, tangerines, pumpkins, red peppers, kakis, carrots and dandelions. Also, this substance has a very good effect on the health of the lungs and protects the respiratory organs from the harmful effects of smoking, so that especially passive smokers or ex-smokers should resort to these foods. Initial studies in animals showed that beta-cryptoxanthin could contribute to their shrinkage in existing lung tumors.

Flavonoids

Flavonoids are also plant substances with u. a. Antioxidant, anti-inflammatory and anti-allergic (histamine-inhibiting) effect and therefore extremely helpful for the sensitive respiratory tract. The administration of flavonoids improves bronchoconstriction (spasmodic constriction of the bronchi) and inflammation. The latter, thanks to the flavonoids, improve not only in the respiratory tract, but in the whole organism.

The flavonoids include 6 subspecies: flavones, flavonols, flavanones, isoflavones and flavanols. There is hardly any vegetable food that does not contain at least one of these flavonoid representatives. The best flavonoid sources are therefore: fruits, vegetables, nuts, seeds, dark chocolate, tea, herbs and spices.

Vitamin C in COPD

Another top-class antioxidant is the vitamin C. It also has anti-inflammatory and anti-asthmatic and anti-allergic. Although there are also inconsistent results here, sometimes the vitamin improves the lung functions, sometimes there is no effect of vitamin C intake. From a holistic point of view, these investigations should not unsettle. Because no doubt you should not rely solely on vitamin C, but integrate the vitamin with many other measures in a comprehensive concept.

In mice that were unable to produce vitamin C for genetic reasons, the administration of vitamin C protected against lung disease, reduced oxidative stress in the airways, and helped to regenerate damaged lung tissue.

A study from Taiwan found that COPD patients usually had a low-vitamin C diet and / or had lower vitamin C levels than healthy people. Conversely, a study of 7,000 adult volunteers showed that increasing vitamin C levels can protect against COPD.

A healthy diet is automatically high in vitamin C, but can be supplemented with natural vitamin C supplements, such as acerola powder, sea buckthorn juice or rosehip powder.

Vitamin E

Vitamin E works closely with vitamin C. If vitamin E neutralizes free radicals, it is initially disabled itself. Vitamin C can now revitalize vitamin E so that it can once again plunge into the fight against oxidative stress. Whatever illness one suffers from, both vitamins should be present in sufficient quantities.

A human study showed that vitamin E reduces inflammatory processes, improves pulmonary function and relieves breathing difficulties, but mostly only in those subjects who previously had low vitamin E levels. As is so often the case, taking vitamins does not help everyone, but only where there is a need.

Vitamin E reduces levels of oxidative stress in COPD patients. Since there is a heavy burden of oxidative stress activities, especially during a push, it is not surprising that in these phases the vitamin E levels are very low, as now much of this vitamin is consumed.

If the illness flares up, then at the latest now an increased supply of vitamin E should be considered. Vitamin E is also helpful as a preventative measure. With sustained good vitamin E supply, the risk of developing a chronic lung disease could be reduced by 10 percent. That sounds little. However, considering that vitamin E is ONLY one measure of many and every single measure contributes to reducing the risk, then overall, a very good protection comes about.

Vitamin E sources

Good sources of vitamin E are wheat germ oil, sunflower oil, almonds, hazelnuts, sunflower seeds, peanuts and moringa. The vitamin E requirement of an adult is about 15 mg per day, which alone would put in 1 tbsp wheat germ oil or 4 tbl sunflower oil.

For comparison: 1 tbsp of olive oil provides only 1.3 mg of vitamin E, but is preferable to sunflower oil and wheat germ oil because of the better fatty acid ratio (omega-3 / omega-6). Of course you can still use some of these oils from time to time, but not only and not daily in large quantities.

The need for vitamin E could, for example, be met as follows, with the particular amount of vitamin E present in parentheses. The sum is 17.3 mg of vitamin E. (The respective amount of consumption can of course be adjusted entirely to the personal energy requirement):

    • 20 g hazelnuts or almonds (5 mg)
    • 10 g sunflower seeds (2 mg)
    • 10 g Moring Powder (4 mg)
    • 100 g whole grain bread (1 mg)
    • 80g quinoa raw (1.1mg)
    • 30 g of oatmeal (0.4 mg)
    • 1 tbsp olive oil (1.3 mg)
    • 500 g of fruits and vegetables (average 0.5 mg of vitamin E per 100 g, makes 2.5 mg)
Healthy diet in COPD

Alone from this list you could now put together a very healthy diet for COPD. Because these foods provide not only vitamin E, but almost everything it needs to maintain lung health, restore or improve existing lung diseases: fiber, antioxidants, minerals, vitamins, carotenoids and flavonoids.

Of course, one supplements the nutritional plan with healthy sources of protein, nibbles dark chocolate (antioxidants in cocoa), drinks a cup of green tea from time to time and alternates again and again, so takes z. B. other nuts or kernels in between, other flakes, eats instead of quinoa whole grain rice, etc.

Only selenium, omega-3 fatty acids and vitamin D are additionally taken as a dietary supplement. If you would like to take additional supplements, the following are available:

Dietary supplement in COPD

Suction. BCAA, three specific amino acids (leucine, isoleucine and valine) that help regulate protein metabolism, are particularly good at building muscle, promote fat-free weight gain in underweight and also increase blood oxygenation (which is reduced in COPD), In some cases COPD is recommended – especially if weight loss is imminent in the course of the disease.

Curcumin from turmeric and sulforaphane from z. B. Broccoli sprouts are considered in COPD in question. Both are powerful anti-oxidants with anti-inflammatory effects, which have proven to be beneficial in initial studies in COPD. Turmeric is therefore also an important ingredient of the drink for lung cleansing.